JANUARY 19, 2021 | COMMUNICATION BULLETIN ISSUE 50 IN THIS ISSUE: Q&A Webinar for Vaya Health Network Providers | 30-Day Pass-Through for Initial Therapeutic Foster Care Request | Reminder: Provider Nomination Process Offline | Group 1 Vaccinations: N.C. DHHS Deeper Dive
Q&A Webinar for Vaya Health Network Providers Friday, Jan. 22, 2021, 11 a.m. – 12 p.m. Q&A Webinars for Vaya Network Providers take place every two weeks and are an important source of the most up-to-date information. Registration is not required. All Vaya network providers are encouraged to join.
Q&A WEBINAR FOR VAYA NETWORK PROVIDERS – JAN. 22, 2021
30-Day Pass-Through for Initial Therapeutic Foster Care Request Effective immediately, providers may request a 30-day pass-through authorization for the following initial Therapeutic Foster Care (Level II) services: H2020 Child Residential Level II S5145 CTSP Residential II S5145HA CTSP FAM TYPE RES II IAFT S5145HK Enhanced Rate Therapeutic Foster Care S5145U5 Enhanced Therapeutic Foster Care (in lieu of service) S5156Z3 Rapid Response Therapeutic Foster Care A Service Authorization Request (SAR) may be submitted via Alpha as a notification request that doesn’t require the submission of clinical documentation at that time. Providers remain responsible for completion of the required documentation on or prior to the first date of service. These documents include: SAR Person-Centered Plan, including signature page with Service Order CALOCUS/ASAM worksheet Comprehensive Crisis Plan Child and Adolescent Needs and Strengths (for children ages 3 to 5 years)
Clinical documents will be required for concurrent authorization requests following the 30-day passthrough. Services rendered without the required documentation completed on or prior to the first date of service will be subject to overpayment. Vaya Health Authorization Guidelines may be accessed on our Provider Central website.
Reminder: Provider Nomination Process Offline Vaya’s provider nomination process will be offline from Friday, Jan. 15, 2021, until Monday, Jan. 25, 2021. During that time, the nomination request process will move from the FluidReview platform to the SurveyMonkey Apply platform. During the transition, providers will not be able to submit Nomination Request Forms to join Vaya’s closed provider network, add sites, add services or make other changes requiring a Nomination Request Form.
COVID-19 NEWS AND UPDATES Group 1 Vaccinations: N.C. DHHS Deeper Dive N.C. DHHS has released additional information regarding vaccinations for Group 1 (Health Care Workers and Long-Term Care Staff and Residents) with the goal of first protecting health care workers and North Carolinians who are at the highest risk of being hospitalized or dying from COVID-19. Learn more .
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